Only 77 intensive care beds remain to serve COVID-19 patients

The hospital’s retraining program continues and the capabilities of the health system continue to expand, says Hugo López-Gatell Ramírez. He claims that medical supplies and equipment will continue to come from China.

April
20, 2020

3 min read

The opinions expressed by the collaborators of Entrepreneur they are personal.


They already add 8,261 confirmed cases of COVID-19 this Sunday, 764 more than the day before and 686 deaths, that is 36 more, reported Hugo López-Gatell Ramírez, undersecretary of Prevention and Health Promotion.

During the Technical Report COVID-19 this Sunday, López-Gatell indicated that there are 10,139 suspects and 31,710 negatives and pointed out that 49,570 people have been studied. Of confirmed cases, 5,212 (63.09%) have been mild and 3,049 (36.91%) have required hospitalization.

The person in charge of the strategy against COVID-19 in Mexico stated that HIV-positive patients could potentially be at increased risk of developing the severe version of the condition if they are infected, especially if they have immunosuppression.

However, he said that up to half of people who are HIV-positive are not aware of it until it is too late. If you belong to a community with a higher rate of HIV cases, please test yourself, he insisted, remembering that HIV testing and treatment are free in Mexico.

Find your nearest specialized clinic. (For Mexico City, there is one in Condesa; completely free).

Source: Presidency

Enough beds?

For his part, Gustavo Reyes Terán, head of the Coordinating Commission of the National Institutes of Health and High Specialty Hospitals, released the figures, until this Sunday, of the hospital reconversion to attend to coronavirus.

The official indicated that of the 526 total beds available to provide care to COVID-19, 449 have been occupied, that is, only 77 units are available. He explained that once saturated in institutes and hospitals CCINSHAE (Coordinating Commission of National Institutes of Health and High Specialty Hospitals), patients will be treated at IMSS.

However, he said that the Hospital Reconversion Program continues and the capabilities of our health system continue to expand. He added that from Tuesday or Wednesday, there will be 150 more beds available in Mexico City and State of Mexico, as part of the hospital reconversion.

At the express question of the press, López-Gatell assured that medical supplies and equipment continue to arrive from China, and will continue to do so for as long as necessary.

He also insisted that if you have any symptoms and belong to a vulnerable population (pregnant, over 60 years, hypertension, diabetes, obesity or overweight, kidney failure, liver failure, immunosuppression …) or if you do not have any of the aforementioned conditions , but you are experiencing respiratory failure, so you should go to a hospital or clinic and seek medical attention immediately.

If you are not sure who to call, dial 911. All 911 hotline workers have been trained to provide COVID-19 related guidance.

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How to care for someone with coronavirus

April
10, 2020

6 min read

This story originally appeared on World Economic Forum

By Douglas Broom

It is the time that many people fear: someone in your home begins to show symptoms of coronavirus. The World Health Organization (WHO) recommends that anyone with fever, cough, and shortness of breath should seek medical attention and follow the instructions of their local health authority.

The first step to take, according to the World Health Organization (WHO), is to isolate the person as much as possible within the home. Ideally, they should have their own room. If not, it is essential to keep maximum distance from other people.

WHO Director-General Dr. Tedros Adhanom Ghebreyesus says: “Let’s be practical. Well, you can have your own bedroom … and take all necessary precautions.

“But if it is in a developing country, such as where I grew up, if it is a room where there is a big family, like five or seven people in a room, how is that implemented? That is why we say that we do not have a unique solution for all.”

WHO’s advice

WHO says someone with symptoms of COVID-19 should stay in a single room well ventilated with open windows and doors. They should avoid using shared spaces whenever possible, and bathrooms and kitchens should be well ventilated.

The other members of the family must stay in a different room or, if that is not possible, keep a distance of at least 1 meter from the sick person and sleep in a separate bed.

A family member, who is in good health and does not have any underlying chronic illness, should assume the role of caregiver, and no one else should visit the patient until they are symptom free.

Caregivers should wash their hands after each contact with the patient, as well as before and after preparing food, before eating, after using the bathroom and whenever hands appear dirty.

After washing your hands with soap and water, it is preferable to use disposable paper towels to dry them. If they are not available, use clean cloth towels and change them frequently. The WHO says that both the sick person and the caregiver should wear medical masks.

The sick person should use glasses, plates, utensils, towels and bedding separated from the rest of the house. And all these items should be washed separately with soap and water.

Nursing mothers can continue to feed their babies, but they should wear a mask when they are close to the baby, says the WHO.

Any surface and object that has been touched by the sick person should be cleaned and disinfected at least daily. Coronavirus is believed to survive on hard surfaces for up to 72 hours. The US Centers for Disease Control and Prevention. USA They have put together a detailed guide to disinfecting at home.

Image: WHO via Twitter

It is important that the patient rest in bed, eat nutritious food and maintain a constant fluid intake.

Monitoring a patient’s symptoms is vital. For some people, the virus will only have mild effects. But in severe cases it can cause pneumonia. If someone has difficulty breathing, they should immediately contact medical services for help.

How to insulate yourself as a home

The advice varies from country to country as to when health care providers should be notified that a person is showing symptoms of coronavirus. The WHO says that anyone with a fever, cough, and shortness of breath should seek care and follow the instructions of their local health authority.

COVID-19 is spread by droplets released by infected people when they sneeze or cough. This is why self-isolation within the home is so important. Once a person in the home is infected, it is important that the rest of the home stay indoors and avoid contact with anyone else.

UK health authorities say that anyone with symptoms of coronavirus (a high temperature or a continuous new cough) should not leave their home for seven days, other than exercising, when they must remain at least two meters away from other persons.

In the Philippines, the Minister of Health, Maria Rosario Vergeire, has warned that people with COVID-19 may try to hide their symptoms for fear of social stigma. She urged people not to discriminate against people with the disease.

India’s Ministry of Health is offering citizens a smartphone app that provides COVID-19 alerts and advice in 11 different languages ​​to help people stay safe during the pandemic.

The communities that unite

In many countries, online delivery services are prioritizing the provision of food for self-isolated individuals. Community groups have also been formed to deliver food and medicine to those who cannot get out because of the coronavirus.

The only way to make sure a person has COVID-19 is to test them. In South Korea, mass tests have helped authorities contain the spread of the virus and reduce the number of deaths by isolating carriers from the infection without the need for a complete closure.

In other nations, such as the United Kingdom, testing has only been done so far when people are admitted to the hospital. Home test kits are being ordered in some countries for use, but are not yet widely available.

The WHO Director-General says that each country needs its own solution to isolate people with COVID-19. “Necessity is the mother of invention,” he says, noting that WHO hopes communities will find the best way to protect themselves, based on WHO guidelines.

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Chaos, inconsistency Marks the launch of the Drive-thru Virus – NBC Los Angeles test

Drive-thru sites have been opened in the United States to make testing the new coronavirus faster and safer. But just like the rest of the United States’ response to the pandemic, the system has been characterized by inconsistencies, delays and shortcomings. Many people who have symptoms and a doctor’s order have waited hours or days for a test.

More than a week after President Donald Trump promised that states and retail stores such as Walmart and CVS would open drive-through test centers, few sites are active and are not yet open to the public. Some states are leaving the test sector open to the private sector; others are coordinating efforts through state health departments.

Patients complained that they had to jump through bulky red tape and wait for days to get tested, then wait even longer for a result. The test centers were opened in some places to be closed shortly afterwards due to the shortage of supplies and staff. And while the drive-through test centers that have been opened are generally sorted, in some there have been long lines.

The slow increase in COVID-19 tests and the unpredictable nature of the system make it difficult for public health officials to track the spread of the disease and bring it under control.

“We need to do more extensive testing to fully understand the scale of the public health situation we are facing,” said Joseph Wendelken, a spokesman for the Rhode Island Department of Health.

Dr Brett Giroir, the federal health officer in charge of overseeing the tests, said on Saturday at a White House briefing that approximately 195,000 people have so far been tested in the United States. This figure does not include some people who have been tested in private laboratories.

For most people, the new coronavirus causes only mild or moderate symptoms, such as fever and cough. For some, especially older adults and people with existing health problems, it can cause more serious illnesses, including pneumonia. The vast majority of people recover from the new virus. According to the World Health Organization, people with mild illness recover in about two weeks, while those with more severe illness can take anywhere from three weeks to six weeks to recover.

Drive-through test sites have sprung up in places in over 30 states: in state parks and parking lots, near medical centers and universities, the Mississippi state fairgrounds, and near where the Jacksonville Jaguars play. The governor of Maryland last week ordered the stopping of vehicle emission inspection programs across the state, so that the offices could be used as drive-thru centers to test the virus.

But as of Friday, there were no open drive-through tests available in Maryland inspection centers.

The Utah health department said it is not responsible for the sites and is not monitoring them. The North Carolina health director said the state is leaving the tests to the private sector and declined to say how many sites there are. In contrast, in Rhode Island, health organizations manage the sites in collaboration with the state health department.

On Thursday, cars lined up for more than a mile outside a hospital in Houston when the first drive-through test site was opened. U.S. representative Sheila Jackson Lee said she administered fewer than 200 tests in the first six hours.

Elsewhere, at various sites visited by Associated Press reporters, the scenes were well controlled and sometimes quite silent.

Dozens of people waiting by car in a downtown Homestead, Florida on Wednesday waited for their turn to speak with a screener who was wearing a suit and mask and carrying notes. Some were apparently removed. Others were stirred, checked their temperatures, and swabbed for the samples.

But the shortage of supply has stopped the thrusters in several states, including Colorado, New Mexico, Virginia, Florida, Louisiana, Alabama, North Carolina and Utah. A Las Vegas site was shut down because it didn’t have enough workers.

New York state opened several centers with great fanfare on Tuesday. By Friday, however, the New York City health department issued a warning saying that only people requesting hospitalization should be tested, due to a shortage of protective equipment such as face masks. Drive-thru sites in New York State remain open, but only to people who meet certain criteria.

Nevada Governor Steve Sisolak said he had asked the federal government for additional test kits and supplies, but the state received a warning Thursday that all of its requests for drive-through test pods and test kits “are undefined arrears, without any estimate of a timeline for delivery. “

“This is our unfortunate Nevada reality. It depends on us, “he said.

The sites themselves are dotted with tents and traffic cones. The most important features are medical personnel who wear masks, gloves and protective vests or other clothing. They take nose and throat swabs from people sitting in their cars or help people get in for the test.

Some states have only one drive-thru site. Montana’s only site is in Billings, the largest city in the state. Others have a dozen.

Security guards have been reported on many sites, but an AP survey of states did not reveal any security concerns. In Rhode Island, the National Guard was on hand to set up the state’s three drive-thru sites and even to buffer patients.

The vast network of drive-thru sites in retail chains that Trump claimed was coming over a week ago has not materialized yet. CVS has opened a site in Massachusetts that defines a “test model”. Walmart launched two sites on Sunday and Walgreens said it will launch one, all three in Illinois. Only healthcare professionals and first responders are allowed, and Walmart said that a maximum of 150 tests per day could be performed on its federal sites.

The patchwork of approaches has caused confusion for patients. Caroline Mauldin was sentenced to get tested by her doctor in Charleston, South Carolina on Tuesday after suffering from pain and chills for several days.

To make an appointment at a center in a medical center, she had to fill out a long online questionnaire and spent two days calling a number that went to voicemail and did not answer messages. He resorted to tweets in the hospital several times just to get things going.

Finally, on Thursday, he had an appointment for Monday. And she was told that the results would not return until after 4-5 days. The visit will cost you $ 25, he said. Complicating things, he doesn’t have a car and has to borrow it from a friend.

“Here we have a lot of older, low-income people who don’t have Internet access and who don’t have access to transportation. And since they’re the highest risk population, how are we testing for them?” She asked.

In urban areas such as New York and Philadelphia, some sites offer “walk-up” dating for people without cars.

At the Penn Medicine test site in West Philadelphia, two security agents were late on Thursday to make sure that people arriving by car or on foot had an appointment. For about 40 minutes that evening, the line of cars never grew to more than six or seven. But Patricia Sullivan, Penn Medicine’s quality manager, said every morning last week, 25-35 cars were lined up and six or seven standing patients were 6 feet apart on a porch waiting to be seen.

The 20 sites in Greater Philadelphia are testing around 1,000 people a day, but that hasn’t eliminated pent-up demand.

Rosanne Tanner’s 79-year-old mother has been suffering from fever and chest pain since returning from a visit to Tanner’s brother and wife, who had recently been on a cruise ship.

His doctor ordered a test on Tuesday, but when he tried to make an appointment at a drive-through site in a hospital outside of Philadelphia, he was told that “they are overloaded, they are bogged down,” Tanner said.

Medical staff told her that they are scheduling 15 minutes apart, so there are no bottlenecks on the test site.

Finally on Thursday his mother made sure of an appointment for the following Tuesday. Then, he will have to wait another five days for a result.

“The delay in these tests is putting people at risk,” said Tanner.

In Rhode Island, state officials said they are testing 100 to 200 people per day at all test sites, including three drive thrusters.

Governor Gina Raimondo said they want to perform 500 to 600 a day, but they don’t have the supplies they need.

“It is our top priority to reach a place where everyone who needs it can be tested and you will get results very quickly,” said Raimondo during a press conference held on Facebook Live on Friday on Friday. “So if you’re positive, we can quarantine you.”

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Associate press writers Michelle L. Price in Las Vegas, Lynne Sladky in Homestead, Florida, Claudia Lauer in Philadelphia, Chris Ehrmann in Hartford, Connecticut, Brady McCombs in Salt Lake City and Jonathan Drew in Raleigh, North Carolina and Anne D ‘Innocenzio and Mike Sisak in New York contributed to this report.

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The Associated Press receives support for health and scientific coverage from the Howard Hughes Medical Institute’s Department of Education. The AP is solely responsible for all content.

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Nursing homes face unique challenges with Coronavirus – NBC Los Angeles

From Miami to Seattle, nursing homes and other facilities for the elderly host stocks of masks and thermometers, preparing staff shortages and checking visitors to protect a particularly vulnerable population from the coronavirus.

In China, where the epidemic started, the disease was basically deadly for the elderly. In Italy, the epicenter of the virus epidemic in Europe, the more than 100 people who died were elderly, suffering from other complications or both.

Of the 19 deaths in the United States since Saturday, at least 14 had been linked to a nursing home in the Seattle area, along with many other infections among residents, staff and family members. The Seattle Times reported that a second nursing home and a retired community in the area had reported a virus case.

This has alerted other structures in the United States, especially in states with large populations of older residents, such as Florida and California. About 2.5 million people live in long-term care facilities in the United States.

“For people over the age of 80 … the death rate could reach 15%,” said Mark Parkinson, president of the American Health Care Association nursing homes group.

The federal government is now focusing all inspections of nursing homes on infection control, identifying facilities in the city with confirmed cases and those previously mentioned for not following the protocol.

Federal regulations already require homes to have a specialist in preventing infections in staff, and many have already taken measures to deal with seasonal flow and other ailments that pose a greater risk to the elderly.

Even so, the response of structures to coronavirus has varied across the country.

In Florida, where some 160,000 seniors live in nursing homes and assisted living facilities, mandatory screening for visitors is not expected “because we are not at that point,” said Florida Health Care Association spokeswoman Kristen Knapp.

But aged care centers are posting signs that urge visitors to stay away if they have symptoms and are looking for alternative ways to connect to families, such as through video chats, Knapp said.

Concierges in the 14 Florida nursing homes managed by Palm Gardens Corporation are now offering all visitors a short questionnaire asking for information on symptoms, recent trips and contacts with others, said company vice president Luke Neumann.

Neumann said that nursing homes have also purchased additional thermometers in case they have to check visitors’ temperatures and accumulate preventive supplies, including medical masks, protective goggles and clothing. In laundries they make sure to use enough bleach and heat to kill any persistent viral germs, he said.

In the South Shore Rehabilitation and Skilled Care Center south of Boston, patient Leo Marchand holds a container of disinfectant wipes on a shelf near the bed that he uses several times a day. The 71-year-old Vietnam veteran and retired truck driver has chronic obstructive pulmonary disease which makes it difficult to breathe. The possibility of contracting the coronavirus scares him.

“It’s a concern,” said Marchand. “Really.”

Many facilities across the country have said they have trouble getting masks and medical clothes because of the shortage.

The more intense screening of visitors, meanwhile, isn’t going well with some.

“Some of the visitors have been quite reluctant to comply, and this has been stressful,” said Janet Snipes, executive director of Denver’s Holly Heights nursing center.

Under federal regulations, nursing homes are considered to be a patient’s residence and facilities want to keep them in contact with the family, especially when they are almost dead.

“I don’t think you can completely prevent visitors,” said Dr. David A. Nace, director of long-term care and flu programs at the University of Pittsburgh Department of Medicine. Supervise 300 facilities in Pennsylvania.

For now, facilities in most states are underlining basic precautions, including hand washing and the cough tag.

Centers across the country are also trying to prepare staff for the worst.

An adult daycare center in the Little Havana neighborhood of Miami purchased long-lasting ready meals in preparation for possible shortages. The Hebrew Home in Riverdale, New York is running nursing staff through exercises to see how they will handle situations in the 750-bed facility if the virus progresses. Their IT department is building an infrastructure to allow staff to work remotely if they get sick.

“If one of our sites has an outbreak, we will quickly run out of staff in that position,” said Randy Bury, CEO of The Good Samaritan Society, one of the largest nonprofit senior care providers in the country, with 19,000 employees in 24 states.

Some families are considering withdrawing loved ones from the facilities.

Kathleen Churchyard said her family decided to move her 80-year-old mother out of her retirement community near Jacksonville, Florida, and to her sister’s home nearby if the virus is confirmed in the area.

Churchyard, who lives in Concord, North Carolina, fears that her mother won’t take her seriously, and is particularly concerned about her dining room.

“I tried to get her to buy things to prepare … She said, ‘No. If (the virus) catches me, it takes it,'” said Churchyard.

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Associate associate writer Philip Marcelo in Rockland, Massachusetts contributed to this report.

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The Associated Press receives support for health and scientific coverage from the Howard Hughes Medical Institute’s Department of Education. The AP is solely responsible for all content.

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Well-being in the office is not just for the big ones. Here we tell you how your business can create a health culture

A leading researcher in labor welfare says that naps, salads, open dialogue and leading by example are a great way to start.

March
6, 2020

13 min read

This story appears in the
March 2020

issue of
Entrepreneur Mexico. Subscribe »

In the last decade, the wellness industry It has skyrocketed to be a $ 4.2 trillion dollar business. In the saturated personal development market, the health innovations They compete with supplements for the golden egg domain. Meanwhile, the “hustle and bustle” culture has promoted a certain type of work worshipor that he has many people exhausted, wondering how much they should really expect (or give) from their jobs. In the midst of all this, the well-being at work It is on the rise: more than 80 percent of large companies and 50 percent of small companies have implemented programs to protect it. But despite their efforts, there are big questions about what really works.

This is something that Dr. Ron Goetzel has dedicated his career to. Goetzel is a scientist and director of the Institute of Health and Productivity Studies at Johns Hopkins, as well as VP of applied research at IBM Watson Health. He says that the first thing we should consider is the way we think about what “works.” Traditionally, the measure of success has been the return on investment (ROI), or what a company saves or decreases in health costs, reducing absenteeism as a result of investments made in welfare initiatives. Goetzel does many of these analyzes. Since 1994, he has directed the Health Project, which gives annual recognition to companies that have demonstrable and effective welfare initiatives. Recently led a study showing that in a period of 14 years, a portfolio of 26 of these companies had excellent results. The 26 companies that really invested in welfare had a 325 percent return on shares. The data suggests that welfare programs, done correctly, do give dividends.

Even so, Goetzel says that more and more researchers in his line of work are considering something called ‘investment value’ (VOI), above ROI. “It’s hard to assign a dollar value to happiness, motivation, attraction or retention of talent,” he says. “So now many companies are thinking about the investment value. If they are spending money, and keeping their people healthy (not only physically, but mentally, socially, intellectually, spiritually and financially), what value does this have? Usually, a number that matters to companies is commitment. Do people come to work loving their work, their colleagues, their boss? And finally, am I reducing health costs? ”

It’s remarkable that in the United States, 60 percent of people He says that his work is “bad” or “mediocre”, but that they have to have it (many even more than one). Employment is at an all time low, but the rates of suicide, depression and addiction are rising. It is logical to think that if Americans go to work, that is a place where welfare initiatives can reach them. As Goetzel told the CNBC Last year, “The younger workforce is beginning to ask how your company is socially responsible, and this is another element of that. The way you treat the health of workers and the footprint in the community, and the handprint in the community, has a considerable impact on the reputation and trust of the consumer, and will be increasingly important. ”

So wellness initiatives are not a fad. But knowing where to start can be particularly difficult for start-up entrepreneurs, or for small businesses looking to grow. What, from the wide range of wellness offers, is it worth it? Dr. Goetzel offers some suggestions for thinking about how to integrate health and wellness into your business.

Instead of a wellness program, create a “total health” culture

Offering medical insurance is only the first step. Well-being initiatives that do work do not conceptualize their plans as a program or classify a package of offers and benefits other than current work, but think of well-being as something intrinsic to the work culture. You cannot expect people to be healthy when working inexplicable hours or have excessive levels of responsibilities. You cannot simply offer a health advice and leave it that way. And you can’t simply pay for a health plan and send your employees to a website to navigate it alone. Goetzel says that if you really want to improve the health of your employees, you have to consider every aspect of their well-being: physical, emotional, intellectual, financial, social and spiritual. (Clarifies: “For some people, spirituality means religion, but for others it has to do with a sense of purpose or a mission in life and wondering if all other aspects of their life can align with that mission”). Goetzel says it is easier to think about structuring welfare initiatives in “three broad categories: policies, programs and support for the environment.”

To create a comprehensive culture of health, “policies” function as guidelines, such as having flexible hours and maternity or paternity leave, or feedback processes that give workers a sense of agency. “Programs” are optional benefits such as financial incentives for healthy goals or even classes (cooking, exercise, technology, etc.) and the offer of professional services (nutritionists, chronic disease specialists, financial advisors, etc.). And by “environment” refers to the effort made by the company to create a work environment with healthy options: water instead of soda, stairs instead of elevators, natural light instead of artificial light, etc.

Lead by example

It all starts from above. The company’s leadership commitment is the first step for a culture of well-being to pass from theory to practice. And one of the best ways in which a boss can foster a culture of well-being is to promote the quality of life of his employees outside the office. “If the leader sends emails at 4 in the morning, saying‘ I need this to be ready at 6 in the morning, “that’s not right,” says Goetzel. “What I know is good is when a boss walks around the office at 6 in the afternoon and says, Hey, it’s already 6, go home, go with your family, with your friends… go! If they have to arrive fresh tomorrow to finish what they are doing, that’s fine. Do it. But right now, it’s your time. ”A boss who is guided by something like that makes all the difference.”

Incorporate feedback from the beginning

Communication is absolutely essential to ensure that wellness initiatives are being well received and helping who should help. For small businesses in particular, Goetzel recommends simply asking employees what they need. “The first thing you should do is have information. Discover what your employees want. Want to know how to prepare healthier food? Do you want to exercise more? Do you want to learn to manage stress, to meditate? Do you want yoga sessions or do you want aerobics? Before introducing a program go and ask, talk to them individually, in groups, or even in surveys. That may be the basis for: ‘This is what they told me. This is what we are going to offer in response, and that is what we are going to do. ”

For this, Goetzel advises not to stop communicating and evaluating, by all possible means. “Honestly, small businesses cannot afford to do large studies. You know, we do many studies for large companies. But it is enough to have qualitative data: ‘What do you think of this program? How satisfied are you with this? What would you change? Has the team’s morale improved? Has your level of job satisfaction improved? If you had another job offer tomorrow, would you take it? These types of questions are relevant. ”

Build a work environment that promotes health

The influence of the environment has a measurable impact on people’s mood and decisions. A healthy work space is made up of many small decisions. “Obvious policies are things like‘ don’t smoke, ’” says Goetzel. “But it is really important that there is healthy food in the cafeteria and at company events (in fact, better if it is cheaper than junk food). A company I worked with had a salad bar at the entrance to the cafeteria, and they looked delicious. Do you want a hamburger? Well, you have to train on the grill and wait 30 minutes to be prepared. At the cash register, do you have cookies or apples? Which is easier, get water or a soda? ”

Giving people space and permission to move is another suggestion from Goetzel. If you have an office with outdoor spaces, the walks are fantastic. If you only have interior space, put on a treadmill. If you have stairs, Goetzel recommends making them more attractive. “Instead of people going up and down the elevator all day, open some stairs and invite them to look at paintings or listen to music as they climb.”

Some of the most famous work spaces are in Silicon Valley. But Goetzel says that he usually does not point to large technology companies as beacons of true corporate wellbeing because the goal of many of these advantages is to get people to spend more time in the office, and that is a mentality that we have to get away

“I visited Google, you know? And it’s like going to Disneyland, ”he says. “Is the paradise. They have massages and fitness centers with classes all the time. They have bicycles. They have free food, smoothies. But people work too much there, most because they are bright and love to work, but even then, they will eventually end up exhausted. ”

However, there is a trend in cooler offices that Goetzel does approve: nap rooms. “Now there are big companies that offer nap rooms or meditation rooms for their workers, and I am a great advocate of this. Taking a 30-minute break makes perfect sense, especially for sensitive jobs with safety issues, such as doctors or carriers. But even for a stockbroker or a journalist, a half-hour break probably increases your productivity. ” However, he reiterates that sanctioning naps should not depend on workers entering at 6 a.m. and leave at 9 p.m. “You have to give people a balance between work life and work.”

Choose your suppliers carefully and get involved every step of the way

There is an infinite variety of wellness services that you can offer your employees to build a culture of wellness. But Goetzel says you can’t create a network of external providers, such as coaches, financial advisors, nurses, disability managers, conflict negotiation experts, workers’ compensation specialists, etc., and then disregard the matter. These providers can easily duplicate their services, or not be able to see the real problems of the company.

If you decide to hire a comprehensive wellness provider, make sure you get all the receipts. “My advice was to go with a player who has a good record,” says Goetzel. “Someone who has been doing it for a long time and has good references. Can they show you data on how they made a difference in another company? Because they can have the cutest pamphlets, but that is only a sign that they have a good marketing department. If nobody uses their services and nobody is being healthier, why choose them? ”

Once you’ve chosen a provider, Goetzel says it’s the beginning of the road. “For small businesses, I would go first with the health plan,” he says, “but you should know that it will be very superficial and may not be what your business needs. You must be aware of what happens. You can’t just hire a provider and tell him ‘Make my people healthy, call me when you’re done’. ”

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COVID-19 coronavirus is called pandemic by insurers, voiding travel insurance policies

updated

March 06, 2020 08:15:44

Gwen Davis-Goff is such a thrifty traveler, he puts a kettle in his suitcase so you don’t have to pay for a cup of tea.

Key points:

  • Many travelers are confused as to what their insurance will cover if they contract the disease abroad
  • Consumer group Choice says that if you don’t already have travel insurance, coverage for coronavirus is unlikely
  • The Australian Insurance Council claims that the only way to be insured for coverage, no matter what it is, is to purchase “cancellation for any reason” policies.

But thanks to the coronavirus, his upcoming holidays abroad have become much more expensive than he expected.

The 71-year-old was careful to purchase insurance that would cover her medical bills if she contracted the virus, particularly given that she intended to visit the United States, where hospital bills can be high.

As a result, he took out not one insurance policy, but four.

“I had to review it [the trip] very carefully, and make sure there is a lot of flexibility, “he said.

“Together, all these policies cost me about $ 2,000.”

‘I feel very disappointed’

Initially, Ms. Davis-Goff obtained travel insurance when she used her Bankwest credit card to book the vacation, but found in the disclosure statement that the product was not covered.

So, he bought Woolworths Insurance. But after purchasing that policy, Woolworths underwriters defined the coronavirus epidemic as a pandemic.

He found that outbreak and pandemic costs were excluded from the policy, although the policy was entered into before a pandemic was declared.

Determined to be covered for her trip, she subsequently purchased a policy with Budget Direct.

Answers to your questions about the coronavirus

But he lost confidence in his coverage after multiple conversations with the company.

“They had provided [advice] for me twice in writing and twice verbally on the phone, “said Davis-Goff.

“But when I really pushed them, they said,” You may not be covered. “

Subsequently, the company formally confirmed that it would be covered – but by that time, it had already purchased a fourth policy, with the American insurer Seven Corners.

She had been particularly concerned about medical expenses coverage in the United States, where healthcare is prohibitively expensive.

“I feel very disappointed with the insurers,” he said.

“I think they should have told me what was going on and that maybe I wasn’t covered.”

Insurers set their cut-off dates

Consumer group Choice says Ms. Davis-Goff’s experience will likely be shared by other frustrated travelers.

“The insurance is there to guard against future unknown events,” said Choice’s Jodi Bird.

“When something like that [coronavirus] it becomes known, the insurers stop the coverage “.

When it comes to events such as the coronavirus epidemic, insurance companies set their own cut-off dates. Customers who purchase a policy after the deadline will not be covered.

For this outbreak, these cutoff dates generally fall around January 23, when the World Health Organization confirmed nearly 600 virus cases in several countries.

Other policies completely rule out pandemics and infectious diseases, regardless of when the policies are purchased.

Bird said many travelers were surprised and disappointed to find that their insurance policy does not protect them from coronavirus costs.

“Many people, especially people who bought a travel insurance policy before coronavirus became a known event, expect that they will be covered for medical bills and cancellation fees for coronavirus,” he said.

The Australian Insurance Council says that the only way to be insured for travel cancellation coverage, regardless of the reason, was to purchase a new and more expensive additional product, called “cancel for any reason” insurance.

“If you get nervous or are not sure about traveling in the future, you can cancel for any reason and receive a percentage of your costs,” said Lisa Kable of the board.

Otherwise, “if you’re canceling just because you’re feeling insecure or afraid or have cold feet, the standard cancellation policy doesn’t cover these feelings.”

The lucky couple recovers the costs

A couple from Sydney had the good fortune to recover all the costs, but it was not thanks to their insurance.

Shane Forrest and his wife Jane had planned to go to Vietnam and Japan in two weeks. But they decided to cancel when they were unable to get a direct response from their insurer regarding medical expenses coverage.

“It so happened that the travel insurance we entered into has clauses that are so easily interpreted by them in their favor,” said Forrest.

They didn’t expect to get a refund on their airfares, which costs $ 900.

But then their airline called to say that their flight had been delayed for 24 hours.

When they refused the next flight, they were told that all their money would be refunded.

“I think we’re very lucky, but I’m sure there are many people out there who wouldn’t be as lucky,” said Forrest.

“I really think that if travel insurance is offered, and something opens, you should be sure they will cover you.”

What coronavirus experts say:

Themes:

travel-health-and-safety,

Health,

travel and tourism,

Australia

First published

March 06, 2020 05:57:25

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Should you get travel insurance amid Coronavirus concerns? – NBC Chicago

Many travelers remain in doubt as to whether or not they should travel after fears of the hijacked coronavirus titles.

On Tuesday, in the lively O’Hare International terminal, some travelers said they considered canceling their travels, while others said they didn’t think twice.

Many of the travelers who went out of town on Tuesday booked their trips long before COVID-19 became a worldwide concern. They told NBC 5 not to seriously consider buying travel insurance – and that’s good news for them.

If they had given up on these charges, they would probably be unfortunate for any coronavirus-related cancellation on their part.

“A big problem with travel insurance is that most of the policies sold don’t actually cover you for things like epidemics and pandemics. They are explicitly excluded from coverage,” said Consumer Checkbook CEO Kevin Brasler to NBC 5.

The only armored reimbursement protection for passengers at this point is for those who have purchased tickets for the hard-hit regions, such as China, South Korea or Italy. In a growing list, airlines including American, Delta and United have issued temporary exemptions for cancellation fees.

Governor J.B. Pritzker and the director of the Illinois Department of Public Health, Ngozi Ezike, discuss the state’s response to COVID-19 after a fourth case was confirmed on Monday.

According to Kasara Barto with the Squaremouth travel insurance search engine, those who choose to purchase travel insurance will want to get a “cancellation for any reason” plan.

This insurance is priced much higher than the average travel insurance, however, said Jesse Neugarten, CEO of Dollar Flight Club.

“These high-end insurance plans are ideal for the current travel climate,” he said. “The only drawback you might consider is that these policies can cost up to 50% more than a standard travel insurance policy.”

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Now is the time to buy flood insurance Public security

With an increased threat of spring floods, the Minnesota Department of Commerce reminds Minnesota that they know the facts about flood insurance.

“In the land of 10,000 lakes, every Minnesotan is at risk of flood damage,” said Minnesota Department of Commerce Commissioner Steve Kelly. “Time is running out. This is a critical time of year. Minnesotans should contact their insurance agent now, because there is a 30-day period between guaranteeing a flood policy and when it is effective.”

Property damage and severe financial losses have been caused by the recent floods and only 11,000 out of approximately 2 million Minnesota homes have flood coverage. The Commerce Department is working with the Federal Emergency Management Agency, insurance companies and local officials to warn customers and insurance agents of the need for flood insurance before the spring flood season.

Here are some things Minnesotans should know about flood insurance:

  • Standard homeowner’s insurance does not cover flood damage.
  • There is a 30 day waiting period before the flood policy takes effect.
  • Flooding can occur outside the areas prone to flooding.

Minnesotans are encouraged to review specific risks in order to determine whether flood insurance coverage makes sense to them.

Available through the federal government-funded National Flood Insurance Program, insurance can be purchased through most licensed real estate insurance agents. Different policies can be purchased for buildings or their content.

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Hunter continues to argue that losing wasn’t just “carelessness” – NBC 7 San Diego

Former Congressman Duncan D. Hunter continues to argue that “carelessness” and reliance on his wife “to make sure their finances are in order” caused him to lose $ 150,000 in campaign funds for personal use.

This information was revealed in a legal motion filed Thursday by federal prosecutors, who asked Judge Thomas Whalen for permission to present a longer than usual sentencing memorandum in Hunter’s case.

On December 3, 2019, Hunter pleaded guilty to a conspiracy count for abusing campaign funds. But in the latest filing, prosecutors say Hunter does not accept full responsibility for his actions.

“Hunter has tried to deflect criminal responsibility over his wife and family from the start” of the federal investigation, wrote prosecutor Phil Halpern.

“Hunter still clings to this tactic,” even after pleading guilty, Halpern said.

NBC 7’s Alex Presha got the latest information after Representative Duncan Hunter clung to his post.

The prosecution’s reminder offers a first look at the otherwise confidential pre-sentencing report that will help Judge Whelan decide on Hunter’s punishment. That report, which was filed under seal on February 11, includes excerpts from Hunter’s interview with the probation officer.

In their motion, prosecutors argue that even though Hunter “is taking responsibility for his actions,” he still insists that negligence and dependence on his wife were partly responsible for his criminal acts.

But Hunter’s attorneys, Devin Burstein and Paul Pfingst, insist that their client takes full responsibility for the missing error.

In opposition to the government motion, they cite three other statements made by Hunter to his probation officer:

  • “I misused the campaign funds.”
  • “I pleaded guilty because I’m guilty. I spent campaign funds to cover personal expenses and allowed Margaret (Hunter) to do the same.”
  • “Any punishment for misuse of campaign funds should be mine alone. Margaret and my kids have had enough.”

Given his acceptance of responsibility, Hunter’s attorneys argue that “the government has said it needs more pages [in its sentencing report]… is nonsense. ”

Burstein and Pfingst also claim that prosecutors want to present a longer sentencing warrant “not to guarantee justice, but to maximize [media] coverage of Hunter’s sentencing hearing.

But Prosecutor Halpern said the extra pages are needed “to present a broad factual summary in order to combat Hunter’s incessant and incendiary allegations that the Justice Department has initiated a political vendetta against him since the investigation was become public. “

Hunter could face up to five years in prison when sentenced on March 17.

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